Mphungu Yammimba Yayesayesa Kupulumutsidwa Kwambiri

Ngati inu ndi adokotala mwatsimikiza kuti kupopera mankhwala kungakhale njira yabwino yosamalira kupweteka kwanu kwakumbuyo, muyenera kuyamba kuvomereza kuyesa pamaso pa chipangizocho chisanakhazikitsidwe mwamuyaya.

Chiyeso cha kupweteka kwapopeni kosakanikizika - aka ndi kulowetsedwa kwapopu - kwachitidwa pofuna kulongosola chithandizo chanu ngati wodwala. Kuyambira pachiyesochi, adokotala adzatha kuyankha mafunso awiri ofunikira kuti apitirize kukhazikika kwamuyaya.

• Kodi mankhwala operekera mankhwala osokoneza bongo (ie mapopu opweteka) ndi oyenerera?

  Pambuyo poyang'ana mbiri yanu ya zamankhwala, zachuma, zachuma ndi zamaganizo, yesero ndi sitepe yotsatira poyesa ngati mumayankha bwino mankhwala omwe mumaperekedwa kwa msana.

• Pafupi ndi mankhwala ochuluka bwanji omwe mungawafunire?

  Panthawiyi, dokotala amapeza deta yomwe angagwiritse ntchito kuti adziwe mlingo wa mankhwala mankhwala opweteka omwe amapereka. Mauthenga a mlingo wochokera ku mayesero ndiwo gawo loyamba lakutchulidwa monga titration, kapena kufotokozera ndalama zomwe ziyenera kubweretsa mpumulo wopweteka kwambiri ndi zotsatira zochepa. Mlingo wanu mwina udzasinthidwa pambuyo poti chipangizo chokhazikika chikuloledwa, koma mayesero amamupatsa dokotala mfundo zofunika zomwe angayambe.

Kutalika kwa Mlandu wa Pumpu Wowawa

Malinga ndi chikhalidwe chanu, mayesero amatha masiku awiri ndi 14.

Kutalika kwa yesero kumadalira chikhalidwe chanu. Ngati muli ndi thanzi labwino, zikhoza kukhala nthawi yaitali. Ngati muli ndi matenda aakulu, akhoza kukhala afupikitsa.

Kodi N'chiyani Chimachitika Panthawiyi?

Panthawi yamayeso, katheta imayikidwa mu msana, kawirikawiri (koma osati nthawi zonse) mumlengalenga .

Catheter ndi mpopu zimavala kunja kwa thupi. Kukhazikika kwamuyaya ndi mitundu ina ya mayesero, catheter imayikidwa mozama mu msana, kumalo omwe amadziwika kuti malo osokonekera. Mtundu wa mayesero womwe umayika catheter kupita mu malo osokoneza ubwino uli ndi mwayi wofanana kwambiri pomaliza njirayi ndipo motere ndikupereka deta yolondola. Kugwiritsidwa ntchito kwa catheter kunja kumabweretsa chiopsezo cha matenda. Kwa anthu omwe ali ndi khansara, chiopsezo chimakula kwambiri. Dokotala wanu ayenera kuyembekezera masiku angapo pakati pa kutha kwa mayesero ndi njira yeniyeni yowakhazikitsira, kuyang'anira zizindikiro za matenda.

Monga tafotokozera pamwambapa, dokotalayo ayamba kukhazikitsa mlingo wa mankhwala omwe angathandize kuti pakhale kupweteka pakati pa ululu ndi zotsatirapo. Dokotala amatha kusankha ngati mungaperekedwe mfuti imodzi, zingapo, kapena mlingo wokhazikika.

Mayesero amachitidwa ngati njira yapachilendo, koma pofuna kukhazikika kosatha, chipatala chikufunika kuti athetse matenda omwe angathe. Mofanana ndi ndondomeko yamuyaya, mayesero a kupopera ululu amachitidwa ndi wodwala wothandizira kupweteka kapena matenda a ubongo.

_Zotsatira:

_{Dr. Sudhir Diwan, Mkulu wa Maphunziro a Kupeza Mankhwala Okhudzana ndi Mankhwala Okhudzana ndi Matenda a Pafupipafupi ndi Mtsogoleri wa Gawo la Mankhwala Opweteka pa Weil-Cornell Medical College ya University of Cornell. Kuyankhulana kwa Telefoni. May 2008.}

_{Berner, B. Dinh, S. (eds) Kutumiza Mankhwala Osokoneza Bongo Kwa Boca Raton: CRC Press 1998}

_{Lipov, E., MD. Ch. 34. Mankhwala Osokoneza Bongo Amtatheka mu Chronic Low Back Pain. Kutsika Kwathu Kumbuyo: Kuzindikira ndi Chithandizo. ASIPP Kufalitsa. Madokotala. Paducah, KY. 2002}

_{Markman, J., MD, Philip, A., MD. Njira Zowonjezereka Zothandizira Ululu. Makanema a Anesthesiology. Dec 2007. Volume 25, Nkhani 4. Saunders, Imprint ya Elsevier}

_{Krames, E., MD. Implantable Technologies: Mthenda Yamtsempha Kukhudzidwa ndi Kuyika Mankhwala Otsitsirako Mankhwala. Webusaiti ya National Pain Foundation.}